He maha ngā wā, ka whakama ngā wāhine, ka mataku pea, ki te kōrero mō ngā huringa o te rohe ira tangata o waho (vulva). Whakaarohia, ahakoa ka kite koe i tētahi mea pēnei i te mākūkū, i tētahi puku iti, i tētahi huringa rānei o te tae kiri , tera ētahi wā ka wareware koe, me te whakaaro, 'Ka ora ake anō.' Engari ko ēnei tohu iti nei te tohu tuatahi o tētahi mate kino kāore tātou e mōhio. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi atu kaupapa tino nui, arā, te mate pukupuku o te rohe ira tangata o waho, te '(Vulvar Cancer)' rānei.
He aha te Matepukupuku Vulvar?
Ko te mate pukupuku o te vulva te tipu kore whakahaere o ngā pūtau mate pukupuku i roto i te rohe ira tangata o waho o te wahine, arā, te 'vulva'. He rerekē tēnei i te mate pukupuku o te tara , arā, he mate pukupuku e puta ana i roto i te tara .
Āe, kia kite tātou he aha ngā mea e pā ana ki tēnei wāhi ira tangata o waho (vulva).
- Te whakatuwheratanga o te tara : Ko te tomokanga ki te ara mai i te kōpū ki waho.
- Labia: E rua ngā takai kiri e rite ana ki ngā ngutu. Ko te wāhanga kikokiko o waho e kiia ana ko te "Labia majora" ā, ko ngā takai angiangi o roto e kiia ana ko te "Labia minora".
- Clitoris: He puku tino tairongo kua kapi i te kiri ki te wāhi e hono ai ngā labia minora.
- Mons pubis: Ko te wāhi ngohengohe, teitei kei mua i ngā wheua hope e kapi ana i te huruhuru i te wā e pakeke haere ana.
- Perineum: Ko te kiri i waenganui i te ira tangata o waho me te nono.
Ka taea e ēnei wāhanga te whakaputa mate pukupuku i ngā wāhi katoa.
He aha ngā tohu o tēnei mate pukupuku?
Kāore pea he tohu i te tīmatanga. Heoi, i roto i te wā, ka puta pea ēnei tohu e whai ake nei. Tirohia mēnā kei a koe tētahi, ētahi rānei o ēnei.
| Tohu | Whakaahuatanga |
|---|---|
| Te rerekētanga o te kiri | He panonitanga o te tae kiri i te wāhi o waho o te ira tangata (mā, whero, māwhero, mangu rānei). |
| Ngā puku, ngā tipu rerekē rānei | Te putanga mai o ngā puku taratara, matotoru, ngā tupu rite ki te pōro rānei. |
| Te mākūkū tonu | He mākati pumau, kāore e taea te whakaora e tetahi rongoā. |
| Mamae, mumura rānei | Te mamae, te kare ā-roto e mamae ana, e mumura ana rānei i taua wāhi. |
| Te matotoru o te kiri, ngā whara rānei | Te matotoru o te kiri, te hanganga rānei o tētahi mate pukupuku tuwhera e kore e ora. |
| Te toto rerekē | He toto, he rerenga rerekē rānei kāore e pā ana ki te huringa paheketanga. |
Kia maumahara, ka taea hoki ēnei tohu te puta mai i ētahi atu mate hauora, nō reira i mua i tō mataku, he pai ake te toro atu ki tētahi tākuta me te kōrero mō tēnei mea.
He momo mate pukupuku vulvar anō kei reira?
Āe, he maha ngā momo matua o tēnei mate pukupuku.
- Matepukupuku Pūtau Squamous: Koinei te momo tino noa. Ka tīmata i roto i ngā pūtau kiri . Ina koa i roto i ngā wāhine taitamariki, ka hono pea ki tētahi huaketo e kiia nei ko te 'Human Papillomavirus (HPV).'
- Adenocarcinoma: Ka tīmata tēnei momo i roto i ngā repe Bartholin, kei ia taha o te pūaha tara. I ētahi wā ka rite ki te cyst.
- Te mate kiriuhiHe momo mate pukupuku e tīmata ana i roto i ngā pūtau e hoatu ana i te tae ki te kiri. I te nuinga o te wā ka puta i runga i te kiri e whiti ana i te rā, engari he onge te puta ki te wāhi o waho o te ira tangata.
- Sarcoma: He momo mate pukupuku e tīmata ana i roto i ngā pūtau o te wheua, te uaua, te kiko honohono rānei. Ka taea te whanake i ngā tau katoa, ahakoa i roto i ngā tamariki nohinohi.
He aha ngā take me ngā āhuatanga mōrearea e pā ana ki te whanaketanga o tēnei mate pukupuku?
Kāore anō kia mārama te tino take o tēnei, engari tera pea ētahi mea ka piki ake te mōrearea o te whakawhanaketanga o tēnei mate pukupuku.
- Tau: He mea noa i waenga i ngā wāhine neke atu i te 70 tau te pakeke.
- Mate HPV: Ko te mate pāwera o te 'Human Papillomavirus (HPV)' tētahi o ngā tino take mōrearea.
- Momi hikareti: He nui ake te mōrearea o te hunga momi hikareti, inā koa ko te hunga e pangia ana e te mate HPV.
- Te ngoikore o te ārai mate: Te ngoikore o te ārai mate nā ngā mate pēnei i te HIV, te AIDS rānei.
- Ngā āhuatanga o mua i te matepukupuku: Ngā huringa pūtau e puta ana i mua i te matepukupuku, pērā i te `Vulvar Intraepithelial Neoplasia (VIN).`
- Lichen Sclerosus: He āhuatanga e puta ai te angiangi me te mākūkū o te kiri i te wāhi o waho o te ira tangata.
- Ētahi atu mate pukupuku: He hītori o te mate pukupuku o te kaki, o te tara rānei.
- Hītori whānau: Mena kua pāngia tetahi o te whānau e te melanoma.
E te tākuta, me pēhea te tautuhi i tēnei?
Ina kite koe i tētahi tākuta, tera pea ka mahia e ia ētahi o ēnei whakamātautau.
1. Hītori Hauora: Ka pātai te tākuta mō ō whanonga hauora me ō mate.
2. Whakamātautau Peha: Ka tirohia te wāhi ira tangata o waho, te kōpū, te tara, me ngā whekau e karapoti ana.
3. Colposcopy: He tirotiro tata atu i ngā wāhi whakapae mā te whakamahi i tētahi taputapu whakanui (colposcope).
4. Koiora: He tikanga e tangohia ai he wahi kiko iti mai i tētahi wāhi whakapae, ka tirohia i raro i te karu hiko. Ka whakamahia tēnei whakamātautau hei whakatau tika mēnā he mate pukupuku.
5. Ngā Whakamātautau Whakaahua: Ka mahia ngā matawai pēnei i te `(X-ray, CT, PET scans, MRIs)` hei kimi i te horapa o te mate pukupuku.
He aha ngā wāhanga o te mate pukupuku?
Ki te whakaūtia e ngā whakamātautau he mate pukupuku kei roto, ka tirohia e te tākuta te rahi o te pukupuku, me te mea kua horapa. Ka kiia tēnei ko te 'whakatau i te āhua'.
| Atamira | Te tikanga |
|---|---|
| Wāhanga Tuatahi | He iti te mate pukupuku, ā, kāore anō kia horapa ki tua atu i te rohe ira tangata o waho. |
| Wāhanga II | Kua horapa te mate pukupuku ki ngā kiko e karapoti ana, engari kāore anō kia tae ki ngā kōpū lymph. |
| Wāhanga III | Kua horapa atu hoki te mate ki ngā repe hinu i te rohe o te ihu. |
| Wāhanga IV | Kua horapa ki te wāhanga o runga o te tenetene, te urethra, te nono, ngā whekau tawhiti rānei o te tinana. |
He aha ngā maimoatanga?
He maha ngā āhuatanga e whakatau ana i te maimoatanga, tae atu ki te momo mate pukupuku, tōna taumata, me tō hauora whānui. E whā ngā kōwhiringa maimoatanga matua.
1. Pokanga
Koinei te maimoatanga tino noa. Ko te tango i te mate pukupuku me ngā kiko e karapoti ana. Ko te momo pokanga e mahia ana ka whakawhirinaki ki te rahi me te horapa o te mate pukupuku. Me tango pea e koe tetahi wāhanga, tetahi wāhanga rānei o te ira tangata o waho (he tango i te kiri o waho). Mena kua horapa te mate pukupuku, ka tangohia pea ngā repe hinu e karapoti ana.
2. Te Whakaora Irahiko
Te whakamahi i te irahiko, pērā i ngā hihi-X kaha-teitei, hei whakangaro i ngā pūtau matepukupuku. Ka taea tēnei mā te tuku i te irahiko ki waho mā te whakamahi i tētahi mīhini, mā te whakatakoto rānei i tētahi purapura irahiko iti ki te taha o te puku.
3. Te rongoā matū (Te rongoā matū / "Te rongoā matū")
Te hoatu rongoā hei patu i ngā pūtau matepukupuku, hei aukati rānei i tō rātou tipu. Ka taea te hoatu hei pire, hei werohanga (IV), hei kirimi rānei i ētahi wā hei paninga ki te kiri.
4. Te rongoā ārai mate
He tikanga maimoatanga hou e whakaoho ana i te pūnaha ārai mate o te tinana, e āwhina ana hoki i te tinana ki te whawhai ki ngā pūtau matepukupuku.
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te maimoatanga, me aroturukitia tonutia koe. Nō reira , me toro atu koe ki tō tākuta i ia wā (ngā haerenga whai muri).Me whakahaere ngā whakamātautau i ia 3-6 marama mō ngā tau tuatahi e rua, ā, i ia 6-12 marama mō ngā tau 3-5 e whai ake nei.
Ka pā mai pea ētahi pānga taha i te maimoatanga. He mea nui kia noho ma te patunga i muri i te pokanga. Waihoki, ka puta pea te pupuhi o ngā waewae (Lymphedema), ngā mate mimi, me te mamae i te wā moe tāne. Me whakamōhio atu ki tō rōpū hauora mō ngā mamae katoa e pāngia ana e koe . Ka taea e rātou te āwhina i a koe ki te whakahaere i aua mamae.
He mea noa te pāngia e te koretake o te moepuku. Tērā pea ka pāngia hoki koe e ngā panonitanga o te āhua o te tinana, te mamae, me ētahi atu pānga kare ā-roto. Kaua e whakama ki te kōrero whānui mō tēnei ki tō tākuta, nēhi, kaitohutohu rānei.
Karere Tangohia ki te Kāinga
- Kaua rawa e warewarehia te mākati mau tonu, te rerekētanga o te kiri, te mamae, ngā puku rerekē rānei i te taha o waho o te ira tangata.
- Ki te kite koe i ētahi huringa rerekē, kaua e wehi, kaua hoki e whakama , me toro atu ki te tākuta tonu.
- Ki te kitea wawe te mate pukupuku, he tino teitei te tūponotanga ka taea te maimoatanga me te whakaora.
- Mā te moe haumaru me te whiwhi kano ārai mate HPV ka whakaiti i te mōrearea o tēnei mate pukupuku.
- He mea nui te whakamutu i te kai paipa mō tō hauora whānui, tae atu ki te whakaiti i tō tupono ki te pāngia e tēnei mate pukupuku.
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